Dealing with risks in patient care
Quality management
Dipl. Pflegewirtin (FH) Susanne Vater
Qualitätsmanagementleitung
Am Sommerberg 21
97816 Lohr a. Main
Phone:
09352
-503-0
Mail:
ed.rhol-suahneknarkskrizeb@retav.ennasus
Krankenhausdirektor Ärztlicher Direktor Pflegedirektorin Qualitätsmanagementleitung
Conference frequency: monatlich
Risk management
Carsten Pohl
Diplom-Psychologe, Psychologischer Psychotherapeut (VT)
Am Sommerberg 21
97816 Lohr a. Main
Phone:
09352
-503-0
Mail:
ed.rhol-suahneknarkskrizeb@lhop.netsrac
Krankenhausdirektor Ärztlicher Direktor Pflegedirektorin Qualitätsmanagementleitung/ Risikomanagementleitung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement-Konzept (14.04.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung Notfallversorgung im BKH (01.09.2023) |
| RM05 |
Pain management Schmerzmanagement (Prozessbeschreibung) (18.10.2018) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (Prozessbeschreibung) (30.01.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (Prozessbeschreibung) (23.11.2022) |
| RM08 |
Regulated handling of custodial measures Dienstanweisung Fixierung (16.07.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Notfallmanagement bei Defekt eines Gerätes (Labor)/ Prozessbeschreibung (16.01.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Risikomanagement-Konzept (14.04.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Konkrete Ansprechpartner für Menschen mit Hörstörungen Beschützende Maßnahmen in der Gerontopsychiatrie Multiprofessionelle Aufnahme Selbsthilfefreundliches Krankenhaus Risikomanagement Datenschutz-/ und Informationssicherheitsbeauftragte Fehlermanagement Hygienebegehungen Arbeitsschutzbegehungen Brandschutzbegehungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 13.07.2020 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |